| Aden Abate Desta, | |
|
3950 Austell Rd, Austell, GA 30106-1121 | |
| (770) 732-4000 | |
| Not Available |
| Full Name | Aden Abate Desta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3950 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265136808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 283567 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qofl Services Llc | 6709030133 | 21 |
| Entity Name | Qofl Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140203001266 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
| Entity Name | Provider Partners Care Management LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250124000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Aden Abate Desta, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000 | Aden Abate Desta, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000 |
Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760 |
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602 |
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680 |
Mrs. Lauren Davison Warren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-4000 |
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138 |
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578 |
Kewana Craig, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 866-389-2727 |